Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00032588 | WA |
NPI | 1457417115 |
---|---|
Provider Name | Dr. Anne P Mccormack |
First Address | Seattle, WA 98115-6941 |
Second Address | Seattle, WA 98115-6941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |